Pregnancy-related symphysis pubis dysfunction management and postpartum rehabilitation: two case reports.

Paper

Pregnancy-related symphysis pubis dysfunction management and postpartum rehabilitation: two case reports.

Published Jun 1, 2012 · Emily R. Howell

The Journal of the Canadian Chiropractic Association

Q3 SJR score

22

Citations

2

Influential Citations

Semantic Scholar

Abstract

OBJECTIVE Two case reports review the chiropractic treatment and rehabilitation management of Symphysis Pubis Dysfunction (SPD). CLINICAL FEATURES Patient 1: a 35-year-old female presented at 30 weeks pregnant with severe left sided Symphysis Pubis Dysfunction and low back pain. Patient 2: a 33-year-old female also 30 weeks pregnant, presented with right sided Symphysis Pubis Dysfunction and sacroiliac pain. INTERVENTION AND OUTCOME Treatment included soft tissue therapy, pregnancy support belt, side-lying mobilizations, pelvic blocks and instrument-assisted pubic symphysis adjustments. Home advice included: ice, staying active, moving as a unit, stretching, use of a pillow between the knees while sleeping, regular breaks from sitting and pelvic floor (Kegel) exercises. Both patients reported some relief with treatment and home care. Post-partum, rehabilitation exercises were prescribed to restore muscular endurance, control and pelvic stability. On long-term follow-up patient 1 reported no pubic symphysis pain, but some low back pain secondary to a subsequent knee injury. Patient 2 reported being mostly pain free with a rare re-exacerbation of pubic symphysis pain. SUMMARY Conservative chiropractic management appears to reduce pain and improve mobility and function for SPD. Post partum rehabilitation of the associated lumbo-pelvic musculature with specific stabilization exercises is recommended to reduce pain, improve long term outcomes and prevent chronicity.

Case Report

Study Snapshot

Key takeawayConservative chiropractic management and postpartum rehabilitation exercises can reduce pain and improve mobility and function for pregnant women with Symphysis Pubis Dysfunction.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

Paper

Pregnancy-related symphysis pubis dysfunction management and postpartum rehabilitation: two case reports.

References

Postpartum sacral fracture presenting as lumbar pain.

Postpartum sacral fractures are rare, but can cause lumbar pain in women after giving birth.

Self-administered tests as a screening procedure for pregnancy-related pelvic girdle pain

Self-tests like the P4 and Bridging tests are effective in screening for pregnancy-related pelvic girdle pain, while palpation of the symphysis is painful and should be used as a complement to history taking and pain drawing.

Dancing through Pregnancy: Activity Guidelines for Professional and Recreational Dancers

This paper outlines safe and potentially beneficial dance activities for both mother and baby during pregnancy, as well as those to avoid.

Musculoskeletal disorders of pregnancy, delivery and postpartum.

Pregnancy-related musculoskeletal conditions are common and require gender-specific care, with a focus on prevention, diagnosis, and management.

Interrater reliability and diagnostic accuracy of pelvic girdle pain classification.

A classification system for diagnosing pelvic girdle pain shows strong agreement and may be useful for clinicians.

Citations